VetTech Radiology
Terms
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- Definition of X-Rays
- A from of electromagnetic radiation similar to visible light, but of much shorter wavelength.
- Discovery of X-Rays
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Professor Godspeed discovered x-rays but did not understand the medical significance.
Wilhelm Roentgen first used x-rays to radiograph his wife's hand. She later died of intestinal cancer. - Definition of Electromagnetic Radiation
- A method of transporting energy through space. It is distinguished by its wavelength, frequency, and energy.
- Characteristics of Electromagnetic Spectrum
-
Composed of
1)Particles
-Protons (+)
-Neutrons
-Electrons (-)
2)Waves - What do cathodes do?
- Generates electrons and forms an "electron cloud"
- What do Anodes do?
- Generate protons.
- Generation of x-rays
-
Energy from fast moving electrons from the cathode are attracted to the anode.
This results in 1% radiation and 99% heat. Electrons are slowed down or stopped by the atoms of a target area and an x-ray beam is created - X-Ray Beams
- Composed of bundles of energy (photons) and travel in the form of a wave.
- What three things factor into X-Ray absorption?
-
1) Atomic number (higher atomic number, higher absorption and decreased penetration)
2) Density of object
3) Energy of x-rays (frequency of transmission) - Exposure to radiation may...
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1) Cause cancer
2) Damage or kill cells
3) Cause temporary or permanent infertility
4) Increased incidence of squamous cell carcinoma - What are particularly sensitive areas to radiation?
-
1) Skin and intestinal epithelium
2) Gonads
3) Thyroid
4) Lens of the eye
5) Blood forming organs - Define Maximum Permissible Dose (MPD)
- A means of measuring the dosage of radiation received by the radiographer. The MPD measures a max dose of radiation that a person may be exposed to in a given amount of time.
- What is a Dosimetry Badge?
- A device that measures the amount of radiation one is exposed to over time
- What is an absorbed dose?
- This is the amount of ENERGY transmitted by ionizing x-rays to matter. The units are Gy (gray) or cGy (centigray)
- What is the Dose Equivalent?
- The amount of RADIATION equal to the absorbed dose in the tissue. The units are Sv (Sievert) or REM.
- What PPE needs to be worn when taking a radiograph?
-
1) Lead aprons
2) Lead gloves
3) Thyroid shields
4) Leaded eyewear
*Proper care of the equipment used for protection is very important! - What is Fluoroscopy?
- A "live" radiograph
- What is a limit?
-
the parts of the body not necessarily seen or felt by are the desired edges of the particular body part that needs to be included in the primary beam.
*Included in the radiograph
*Can be the same as a landmark - What is a landmark?
- Those parts of the body that you can see or palpate to make sure that the primary beam includes the proper limits for that body part.
-
Thoracic view
Limits -
Cranial: Thoracic inlet
Caudal: Diaphragm
Dorsal: Dorsal spinous processes of the thoracic vertebrae
Ventral: Sternum -
Thoracic view
Landmarks -
Cranial: Manubrium
Caudal: Xiphoid process
Dorsal: Dorsal spinous processes of the thoracic vertebrae
Ventral: sterum -
Abdominal view
Limits -
Cranial: Diaphragm
Caudal: Pelvic inlet
Dorsal: Dorsal spinous processes of the lumbar vertebrae
Ventral: Belly wall -
Abdominal view
Landmarks -
Cranial: Xiphoid process
Caudal: Wings of the ilium
Dorsal: Dorsal spinous processes of the lumbar vertebrae
Ventral: Belly wall -
Whole body view
Limits -
Cranial: Thoracic inlet
Caudal: Pelvic inlet
Dorsal: Dorsal spinous processes of the thoracic or lumbar vertebrae
Ventral: sternum or belly -
Whole Body view
Landmarks -
Cranial: Manubrium
Caudal: Wings of the ilium
Dorsal: dorsal spinous processes of the thoracic or lumbar vertebrae
Ventral: Sternum and belly wall -
Pelvic view
Limits -
Cranial: Pelvic inlet
Caudal: Ischiatic tuberosity -
Pelvic view
Landmarks -
Cranial: Wings of the ilium
Caudal: Ischiatic tuberosity -
Cervical spine view
Limits -
Cranial: C1 (Atlas)
Caudal: C2 (Axis) -
Cervical Spine View
Landmarks -
Cranial: Wings of the Atlas
Caudal: Cranial part of the dorsal tips of the Scapula -
Thoracic Spine View
Limits -
Cranial: T1
Caudal: T13 -
Thoracic Spine View
Landmarks -
Cranial: Cranial part of the dorsal tips of the Scapula
Caudal: 13th rib -
Lumbar Spine
Limits -
Cranial: L1
Caudal: L7 -
Lumbar Spine
Landmarks -
Cranial: 13th rib and count cranial to 9 or 10
Cadual: 13th rib and count caudal to L3 -
Positioning
Body Cavities -
Ventral (V)
Dorsal (D)
Lateral (Lat)
Cranial (Cr)
Caudal (Cd) -
Positioning
Extremities -
Anterior (A)
Posterior (P)
Cranial (Cr)
Caudal (Cd)
Palmar (Pa)
Plantar (Pl)
Dorsal
Ventral
Extension
Flexion -
Universal Rules Hanging Rads
Body Cavities -
- Always perform 2 views
- V/D or D/V head goes topside
- Lateral view: head to left
- Right side is usually the down side (exception for extensive injury on R side)
- Place L or R marker to note the side of the body in V/D view
- Place L or R marker to note which side is on the table -
Universal Rules Hanging Rads
Extremities -
Cr/Cd: Proximal parts proximal, Distal parts distal
Lateral: Proximal parts proximal, distal parts distal, head to the left
*Always include the joint above and the joint below
*Always include 1/4 - 1/3 of the bone above and below a joint - What are the 5 steps to processing any film:
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1) Developing
2) Rinsing/Stop bath
3) Fixing
4) Washing
5) Drying - What is the Developer and what does it do?
- An ALKALINE chemical solution that converts the latent image on a film to a visible image. Converts exposed silver halide crystals to black metallic silver.
- What does the Rinse/Stop bath do?
-
Slows the developing process
Rinses the developer from the film
Prevents contamination of the fixer - What does the Fixer do?
- An ACIDIC solution that removes unexposed crystals and hardens the gelatin coating so that it can be dried without damaging the film surface.
- What does washing do?
-
Removes the processing chemicals from the film surface.
In manual processing a film should be washed for 20-30 minutes in a circular water bath. - How long and at what temperature should manual developing be done?
- 68 degrees F for 3 minutes For each degree lower than 68, increase time by 30 sec For each degree higher than 68, decrease time by 30 sec. Develop for no 5min
- How long does manual fixing take?
- TWICE the developing time
- What is clearing time?
-
The minimum amount of time a film needs to be in the fixer in order to adequately remove the unexposed crystals.
- How long can the radiograph stay out of the Fixer and what happens if it stays out longer?
-
Radiograph can stay out of the fixer for up to 1 min.
Must be put back in for the remainder of the fixing time.
If not, the image will disappear. - What are the two types of Water Baths?
-
1) Stationary
2) Circulating *preferred - How long does the radiograph stay in the water bath?
- 20-30 mins
- What is the difference between Manual and Automatic processing?
- The automatic processor involves roughly the same routine except it operates at much higher temperature and has specially formulated chemicals to speed up processing. A lot of automatic processors do not have the first rinse bath.
- What must the film identification include?
-
1) Name and address of hospital/veterinarian
2) Date radiograph was taken
3) Patient and owner's name
- age, sex, breed, DOB - What are the three methods of labeling?
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1) Lead markers
2) Lead-Impregnated tape (large animal)
3) Embosser - Purpose of Technique Charts
- To provide a consistent way of setting the proper exposures for diagnostic radiographs
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Suggested kVp range
Extremities - 55-66 kVp
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Suggested kVp ranges
Abdomen - 65-85 kVp
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Suggested kVp ranges
Thorax - 75-95 kVp
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Suggested kVp ranges
Pelvis - 55-75 kVp
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Suggested kVp ranges
Spine - 70-90 kVp
- Factors taken into consideration when developing a technique chart:
-
1 Tissue measurement and density
2 Grid factor
3 Screen type
4 Film type and speed
5 Beam filtration
6 Processing time and temp - Caliper is measured in...
- centimeters
- General rule for measuring
- Measure the thickest part of the area of the body being radiographed
-
Where to measure
Elbow - at distal humerus
-
Where to measure
Radius/Ulna - at the elbow
-
Where to measure
Stifle - at distal femur
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Where to measure
Tibia/Fibula - at the stifle
- When do you put the phototray in the bucky?
- When the measurement is greater than 10cm